NANCY MEDINA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

NANCY

Last Name

MEDINA

Suffix

DMD

Business Name

NANCY MEDINA DMD

Original Issue Date

08/31/2012

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

LUTZ

State

Zip

33559

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024